IVANDARIO SALDARRIAGA

GREAT LAKES, IL
NPI1962928812
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: IL  019.032017)
Additional Taxonomies122300000X Dentist
(Licence: TX  33287)
Enumeration Date2017-08-22
Last Update Date2021-07-26
Business Address
Dr. IVANDARIO SALDARRIAGA DMD
3440 OHIO ST
GREAT LAKES, IL 60088-3155
Phone number: 919-699-5628
Mailing Address
Dr. IVANDARIO SALDARRIAGA DMD
3440 OHIO ST
GREAT LAKES, IL 60088-3155
Phone number:
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